The American College of Obstetricians and Gynecologists (ACOG) has issued a new Practice Bulletin, “Use of Botanicals for Management of Menopausal Symptoms.” ACOG says that while some botanicals may offer some symptom relief, there is no mandatory regulation of the majority of botanical products, resulting in a lack of standardization among products. According to the assocation, “Consumers cannot be assured of any particular product’s actual content and efficacy. More importantly, this lack of quality control may result in contamination, adulteration or misidentification of plant products and may ultimately harm the consumer.”